Healthcare Provider Details

I. General information

NPI: 1417063512
Provider Name (Legal Business Name): WILLIAM M LAPPIN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 TABERG RD
CAMDEN NY
13316
US

IV. Provider business mailing address

4884 ROME-NEW LONDON RD
ROME NY
13440
US

V. Phone/Fax

Practice location:
  • Phone: 315-245-0232
  • Fax: 315-245-4522
Mailing address:
  • Phone: 315-339-2492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number032123
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005230
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: